P etition for Determination of a Father/Child R elationship Page 1 of 2 2270 (Rev. 12/04) UNITED STATES OF AMERICA STATE OF ILLINOIS COUNTY OF DU PAGE IN THE CIRCUIT COURT OF THE EIGHTEENTH JUDICIAL CIRCUIT CASE NUM BER File Stamp Here PETITION FOR DETER MINATION OF A FATHER /CHIL D REL ATIONSHIP Now comes the Petitioner and petitions this Court to determine the existence of a father child/child relationship pursuant to Illinois Compiled Statutes, 750 ILCS 45/1 and in support thereof states as follows. 1. Name of the Mother Address Place of Birth Date of Birth 2. Name of the Father Address Place of Birth Date of Birth 3. Name of the Child Address Place of Birth Date of Birth 3a. Check this box if a public agency is providing assistance to the child. Name of Agency Address 4. That the minor child of the parties presently is in the custody of . 5. That one or more of the parties resides or can be found in DuPage County Illinois, or that probate proceedings of the fathers estate have been or could be commenced in DuPage, Illinois 6. That it is in the best interest of the minor child that temporary and permanent care, custody control and education be awarded to who is a fit and proper person. CHRIS KACHIROUBAS , CLERK OF THE 18TH JUDICIAL CIRCUIT COURT WHEATON, IL LINOIS 60189-0707 >>>> 2Petition to Determine a Father/Child R elationship Page 2 of 2 2270 (Rev. 12/04) 2173 (Rev. 11/03) 7. That , the , lacks sufficient property or sufficient income to provide for the reasonable needs of the minor child of the parties, including education needs. That , the , is gainfully employed earning substantial income and is well able to provide child support in accordance with the reasonable needs of the child. 8. That , the is without sufficient financial resources to pay his/her own attorneys fees and costs and that , the has sufficient resources to pay his/her own attorneys fees and costs. 7. That , the mother is without sufficient resources to pay for the reasonable expenses of the pregnancy and delivery and that has sufficient financial resources to pay for these expenses. WHEREFORE, The Petitioner prays for the following relief: A. That a judgment be entered establishing the existence of a father and child relationship between , father and , minor child, according to 750 ILCS 45/ Illinois Compiled Statutes, Chapter.40. B. That , the , be awarded the temporary and permanent custody of the minor child of the parties, subject to reasonable visitation as ordered by the Court. C. That , the , be awarded temporary and permanent child support. D. That the Court order , to pay such reasonable child support for the period of which is prior to the commencement of this action. STATE OF ILLINOIS ) County of DU PAGE ) , being first duly sworn upon oath deposes and states that the facts as set forth in the above petition are true and correct. Name: PRO SE DuPage Attorney Number: Attorney for: Signed and Sworn to me this day of , 20 Address: City/State/Zip: Notary Public-Circuit Court Clerk Telephone: CHRIS KACHIROUBAS, CLERK OF THE 18TH JUDICIAL CIRCUIT COURT WHEATON, ILL INOIS 60189-0707